Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients (EN)

Bhamidimarri, Kalyan R.

Sidhu, Lovleen

Gumaste, Vivek V.

Baum, Joel

Bansal, Raghav

Walfish, Aaron

Background The aim of our study was to ascertain factors that favor early discharge and predict mortality in post-percutaneous endoscopic gastrostomy (PEG) patients.Methods Successive patients who underwent successful PEG placement during a 10-year period in a single New York City hospital were included in the study. Data was retrospectively extracted from hospital electronic medical records.Results Two hundred and eighty-four patients underwent successful PEG placement. Forty-six patients (16%) were discharged within 3 days of PEG placement (early discharge). Two hundred and thirty six patients (84%) remained in hospital from 4 to 244 days (median 13.5) after PEG insertion (late discharge). Twenty-six (9%) patients died in-house after PEG placement. A serum albumin level <2.2 g/dL (P=0.007) and presence of 2 or more co-morbidities (P=0.019) were predictors of late discharge. A dementia indication was twice as likely to result in an early discharge compared to a stroke indication (OR 2.39; 95% CI 1.07-5.36; P=0.033). Female sex, positive urine cultures and low serum albumin levels were independent predictors of in-house mortality.Conclusion Clinical and laboratory markers may predict post-PEG mortality as well as early patient discharge.Keywords Post-PEG mortality, co-morbiditiesAnn Gastroenterol 2014; 27 (1): 42-47 (EN)

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info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία

Annals of Gastroenterology

Αγγλική γλώσσα

2013-12-12

http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1532

Hellenic Society of Gastroenterology (EN)

1792-7463

1108-7471

Annals of Gastroenterology; Volume 27, No 1 (2014); 42 (EN)